|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$61.19 |
$61.19 |
$61.19 |
$20.76
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$280.64 |
$280.64 |
$280.64 |
$884.80
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$86.40 |
$86.40 |
$86.40 |
$36.05
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$86.40 |
$86.40 |
$86.40 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$86.40 |
$86.40 |
$86.40 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$197.60 |
$197.60 |
$197.60 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$62.40 |
$62.40 |
$62.40 |
$79.30
|
|
Diab manage trn ind/group
|
$68.80 |
$68.80 |
$68.80 |
$54.99
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$68.03 |
$68.03 |
$68.03 |
$79.71
|
|
Diffusing capacity
|
$228.00 |
$228.00 |
$228.00 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$64.48 |
$64.48 |
$64.48 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$4,438.71 |
$4,438.71 |
$4,438.71 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$95.20 |
$95.20 |
$95.20 |
$102.07
|
|
Diltiazem 5 mg/ml intravenous solution
|
$60.63 |
$60.63 |
$60.63 |
$45.60
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$1.20 |
$1.20 |
$1.20 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$60.62 |
$60.62 |
$60.62 |
$18.32
|
|
Disability dlco
|
$272.80 |
$272.80 |
$272.80 |
$293.76
|
|
Dna antibody native/double stranded
|
$100.80 |
$100.80 |
$100.80 |
$100.00
|
|
Dna probe chlamydia
|
$84.00 |
$84.00 |
$84.00 |
$82.20
|
|
Dna probe gc
|
$80.80 |
$80.80 |
$80.80 |
$79.38
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$111.66 |
$111.66 |
$111.66 |
$95.06
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$132.83 |
$132.83 |
$132.83 |
$65.40
|
|
Doppler echo complete
|
$760.80 |
$760.80 |
$760.80 |
$558.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$996.80 |
$996.80 |
$996.80 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$463.20 |
$463.20 |
$463.20 |
$481.65
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$73.84 |
$73.84 |
$73.84 |
$89.34
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$500.00 |
$500.00 |
$500.00 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$440.80 |
$440.80 |
$440.80 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$580.80 |
$580.80 |
$580.80 |
$541.00
|
|
Drug assay vedolizumab
|
$132.80 |
$132.80 |
$132.80 |
$154.00
|
|
Drug of abuse screen urine
|
$58.40 |
$58.40 |
$58.40 |
$67.89
|
|
Drug test prsmv instrmnt
|
$80.80 |
$80.80 |
$80.80 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$195.20 |
$195.20 |
$195.20 |
$278.85
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$969.60 |
$969.60 |
$969.60 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,316.00 |
$1,316.00 |
$1,316.00 |
$904.78
|
|
Ecg/1-3 leads/tracing only 93041
|
$152.80 |
$152.80 |
$152.80 |
$132.08
|
|
Ecg external < 48 hours recording
|
$488.00 |
$488.00 |
$488.00 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$740.80 |
$740.80 |
$740.80 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$181.60 |
$181.60 |
$181.60 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$230.40 |
$230.40 |
$230.40 |
$173.40
|
|
Ecg record/review
|
$376.00 |
$376.00 |
$376.00 |
$371.28
|
|
Echocardiogram (Heart Ultrasound)
|
$2,504.00 |
$2,504.00 |
$2,504.00 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$1,074.40 |
$1,074.40 |
$1,074.40 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$668.80 |
$668.80 |
$668.80 |
$511.55
|
|
Echocardiograpy doppler follow up/limited study
|
$432.80 |
$432.80 |
$432.80 |
$371.25
|
|
Echo stress
|
$2,159.20 |
$2,159.20 |
$2,159.20 |
$1,609.44
|
|
Echo transthoracic
|
$2,223.20 |
$2,223.20 |
$2,223.20 |
$1,361.75
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,612.80 |
$1,612.80 |
$1,612.80 |
$1,033.00
|
|
Eeg 41-60 minutes 95812-26
|
$1,304.80 |
$1,304.80 |
$1,304.80 |
$934.05
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,171.20 |
$1,171.20 |
$1,171.20 |
$835.00
|
|
Eeg recording awake and asleep
|
$1,232.00 |
$1,232.00 |
$1,232.00 |
$931.20
|
|
Egd guide wire insertion
|
$2,756.00 |
$2,756.00 |
$2,756.00 |
$1,664.00
|
|
EKG (Tracing Only)
|
$248.00 |
$248.00 |
$248.00 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$289.60 |
$289.60 |
$289.60 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$368.00 |
$368.00 |
$368.00 |
$364.20
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$105.60 |
$105.60 |
$105.60 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$100.80 |
$100.80 |
$100.80 |
$81.75
|
|
Electrolyte panel
|
$100.00 |
$100.00 |
$100.00 |
$79.30
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$123.59 |
$123.59 |
$123.59 |
$112.79
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$68.51 |
$68.51 |
$68.51 |
$37.86
|
|
Epinephrine 1 mg/ml im kit - adult
|
$70.60 |
$70.60 |
$70.60 |
$31.76
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$312.29 |
$312.29 |
$312.29 |
$507.10
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$97.08 |
$97.08 |
$97.08 |
$33.60
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$588.00 |
$588.00 |
$588.00 |
$1,329.09
|
|
Epstein barr nuclear antigen antibody
|
$96.00 |
$96.00 |
$96.00 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$136.00 |
$136.00 |
$136.00 |
$85.50
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$2,452.00 |
$2,452.00 |
$2,452.00 |
$3,838.45
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$194.63 |
$194.63 |
$194.63 |
$232.12
|
|
ER Visit (level 1, minor)
|
$302.40 |
$302.40 |
$302.40 |
$252.60
|
|
ER Visit (level 2)
|
$483.20 |
$483.20 |
$483.20 |
$463.00
|
|
ER Visit (level 3)
|
$827.20 |
$827.20 |
$827.20 |
$812.18
|
|
ER Visit (level 4)
|
$1,103.20 |
$1,103.20 |
$1,103.20 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,428.00 |
$1,428.00 |
$1,428.00 |
$1,871.60
|
|
Established Patient Office Visit (level 1)
|
$188.00 |
$188.00 |
$188.00 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$126.40 |
$126.40 |
$126.40 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$213.60 |
$213.60 |
$213.60 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$271.20 |
$271.20 |
$271.20 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$327.20 |
$327.20 |
$327.20 |
$290.68
|
|
Estradiol total
|
$200.00 |
$200.00 |
$200.00 |
$152.10
|
|
Estrogens total-sendout
|
$52.80 |
$52.80 |
$52.80 |
$97.50
|
|
Ethylene glycol -sendout
|
$200.00 |
$200.00 |
$200.00 |
$86.04
|
|
Eval/fit voice prosthesis iii, st
|
$516.00 |
$516.00 |
$516.00 |
$359.50
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$1,568.80 |
$1,568.80 |
$1,568.80 |
$969.60
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$2,384.00 |
$2,384.00 |
$2,384.00 |
$2,069.20
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$2,014.40 |
$2,014.40 |
$2,014.40 |
$1,501.50
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$2,560.00 |
$2,560.00 |
$2,560.00 |
$2,271.01
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$1,168.00 |
$1,168.00 |
$1,168.00 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$2,323.20 |
$2,323.20 |
$2,323.20 |
$1,314.67
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$1,841.60 |
$1,841.60 |
$1,841.60 |
$999.50
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$1,600.00 |
$1,600.00 |
$1,600.00 |
$914.34
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$2,464.00 |
$2,464.00 |
$2,464.00 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$1,072.24
|
|
Exc malig feenl 1.1-2 11642
|
$2,080.00 |
$2,080.00 |
$2,080.00 |
$1,082.00
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$1,604.00 |
$1,604.00 |
$1,604.00 |
$889.20
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$4,169.60 |
$4,169.60 |
$4,169.60 |
$2,054.40
|
|
Exercise tst brncspsm w/ecg
|
$365.60 |
$365.60 |
$365.60 |
$335.52
|
|
Ext ecg>48hr<7d scan a/r
|
$396.80 |
$396.80 |
$396.80 |
$241.92
|
|
Ext ecg>7d<15d scan a/r
|
$380.00 |
$380.00 |
$380.00 |
$345.60
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$520.80 |
$520.80 |
$520.80 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$165.60 |
$165.60 |
$165.60 |
$109.00
|